HomeMy WebLinkAbout11001.5 Ridge Road11:59 P.M
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Building Permit Application
Property Owner (please prihL�Da�
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ArchitedUt6ghleorl-mail: Phono:
Contractor:
Contractors City License - 011 \ Phone: 39
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Other City Licensed Sub: Other City Licensed Sub:
City License # City License 4
Complete all information on BOTH sides of this form
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OWNER/CONTRACTOR SIGNATURE OF (JNDERSTANDINC, AND ACREI'.NTEN?T
I hereby certify that the setback distances proposed b this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easen eats or restriction of record; that all measurements sla<, €wn and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that l assurne full responsibility fear compliance
with applicable City of Wheat Ridge codes and ordinances fbr t<aarlc tinder am permit issued based on this application, that l aria the legal owner
or have been authorized by the legal owner of the property to peri arrn the described work and am also authorized by the legal owner ofany
entity included on this application to list that entity on this appli ^atitara
CIRCLE ONE: ((?WWER) (C0jVTRAC`T0R) err (.4 TIVE) of (014 (C NTR.MCTt� )
FARM NAl4t _ SI NATURP: � ._ DATE:
ding Division •
APPROVIED
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Work shall comply with 2006 IBC,
Iff", IMC, IFGC, IFC, 2011 NEC
mt
and any applicable city of Whe
Ridge Municipal Codes.